Desk and Exam Copy Request Form

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All requests are subject to approval and availability.

Institution *

First Name *

Last Name *

Street Address (No P.O. Boxes) *

Please provide a street mailing address in care of your institution. No P.O. Boxes. Books are sent via UPS. Valid US addresses only.

Department/Building/Box Number (No P.O. Boxes) *

No P.O. Boxes. Books are sent via UPS.

City *

State *

Zip Code *

Book Title *

13-digit ISBN (NO HYPHENS, Please VERIFY THE ISBN of the requested title through our website before submitting your request- http://www.hmhco.com/trade-publishing) *

Inappropriate ISBN formats or incorrect ISBNs will not be processed

Quantity of copies being requested *

Course Name *

Enrollment *

Bookstore Name *

Bookstore Telephone Number *

Position *

Professor

Assistant Professor

Adjunct Professor

Teaching Assistant

Secretary

Coordinator/Administrator

K-12 Teacher

Other

Office Phone Number *

Email Address *

School or University Account

I am considering this book for a Freshman Year/Common Reading Program *

A Freshman Year/Common Reading Program is one wherein every member of the community reads the same book in order to foster discussion and unity among the students.

Yes

By entering my initials and submitting this order, I attest that all the above information is correct and that I am a faculty member of an accredited college/university OR a K-12 institution. *

I understand that all requests are subject to availability and approval *

Required

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